ID

29313

Description

Study part: Targeted Medical History and Baseline Conditions Screening. A Phase III, Multicenter, Randomized, Sham Injection-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection Compared With Sham In Subjects with Macular Edema Secondary To Branch Retinal Vein Occlusion.

Mots-clés

  1. 18/03/2018 18/03/2018 -
Détendeur de droits

Roche

Téléchargé le

18 mars 2018

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Targeted Medical History and Baseline Conditions Screening Ranibizumab Macular Edema Secondary To Branch Retinal Vein Occlusion FVF4165g

Targeted Medical History and Baseline Conditions Screening

TARGETED MEDICAL HISTORY AND BASELINE CONDITIONS (SCREENING)
Description

TARGETED MEDICAL HISTORY AND BASELINE CONDITIONS (SCREENING)

Alias
UMLS CUI-1
C0262926
Subject Number:
Description

Subject Number

Type de données

text

Alias
UMLS CUI [1]
C2348585
Subject Initials:
Description

Subject Initials

Type de données

text

Alias
UMLS CUI [1,1]
C1997894
UMLS CUI [1,2]
C2986440
Visit Date:
Description

Visit Date

Type de données

date

Alias
UMLS CUI [1]
C1320303
Diagnosis
Description

Diagnosis

Type de données

text

Alias
UMLS CUI [1]
C0011900
Open Angle Glaucoma
Description

Open Angle Glaucoma

Type de données

text

Alias
UMLS CUI [1]
C0017612
No Known History
Description

Medical history

Type de données

boolean

Alias
UMLS CUI [1]
C0262926
Condition Currently Active?
Description

Medical condition ongoing

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0549178
Onset Date / Procedure Date
Description

Onset Date

Type de données

date

Alias
UMLS CUI [1]
C0574845
Date Unknown
Description

Date unknown

Type de données

boolean

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0439673

Similar models

Targeted Medical History and Baseline Conditions Screening

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
TARGETED MEDICAL HISTORY AND BASELINE CONDITIONS (SCREENING)
C0262926 (UMLS CUI-1)
Subject Number
Item
Subject Number:
text
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials:
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Visit Date
Item
Visit Date:
date
C1320303 (UMLS CUI [1])
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Code List
Diagnosis
CL Item
Open Angle Glaucoma (1)
C0017612 (UMLS CUI-1)
(Comment:en)
CL Item
Hypertension (2)
C0020538 (UMLS CUI-1)
(Comment:en)
CL Item
Angina (3)
C0002962 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial Infarction (4)
C0027051 (UMLS CUI-1)
(Comment:en)
CL Item
Congestive Heart Failure (5)
C0018802 (UMLS CUI-1)
(Comment:en)
CL Item
Transient Ischemic Attack (6)
C0007787 (UMLS CUI-1)
(Comment:en)
CL Item
CVA - Ischemic (7)
C0948008 (UMLS CUI-1)
(Comment:en)
CL Item
CVA - Hemorrhagic (8)
C0553692 (UMLS CUI-1)
(Comment:en)
CL Item
Prior Non-Ocular Hemorrhage (9)
C0019080 (UMLS CUI-1)
(Comment:en)
CL Item
Deep Vein Thrombosis (10)
C0149871 (UMLS CUI-1)
(Comment:en)
CL Item
Endarterectomy (11)
C0014098 (UMLS CUI-1)
(Comment:en)
CL Item
Diabetes Mellitus (12)
C0011849 (UMLS CUI-1)
(Comment:en)
CL Item
Behcet’s Disease (13)
C0004943 (UMLS CUI-1)
(Comment:en)
CL Item
Sarcoidosis (14)
C0036202 (UMLS CUI-1)
(Comment:en)
CL Item
Syphilis (15)
C0039128 (UMLS CUI-1)
(Comment:en)
CL Item
Lyme Disease (16)
C0024198 (UMLS CUI-1)
(Comment:en)
CL Item
Polycythemia (17)
C0032461 (UMLS CUI-1)
(Comment:en)
CL Item
Leukemia (18)
C0023418 (UMLS CUI-1)
(Comment:en)
CL Item
Lymphoma (19)
C0024299 (UMLS CUI-1)
(Comment:en)
CL Item
Multiple Myeloma (20)
C0026764 (UMLS CUI-1)
(Comment:en)
CL Item
Waldenstrom’s Macroglobulinemia (21)
C0024419 (UMLS CUI-1)
(Comment:en)
CL Item
Cryoglobulinemia (22)
C0010403 (UMLS CUI-1)
(Comment:en)
Item
Open Angle Glaucoma
text
C0017612 (UMLS CUI [1])
Code List
Open Angle Glaucoma
CL Item
OD (OD)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
OS (OS)
C0229090 (UMLS CUI-1)
(Comment:en)
CL Item
OU (OU)
C0229118 (UMLS CUI-1)
(Comment:en)
Medical history
Item
No Known History
boolean
C0262926 (UMLS CUI [1])
Medical condition ongoing
Item
Condition Currently Active?
boolean
C0012634 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Onset Date
Item
Onset Date / Procedure Date
date
C0574845 (UMLS CUI [1])
Date unknown
Item
Date Unknown
boolean
C0011008 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial